Agape Hospice Director of Nursing

Director of Nursing

Location:

Oregon (Portland Metro)

Reports To:

Executive Director

Position Summary:

The Director of Nursing (DON) provides leadership and oversight for all hospice clinical operations. This role is responsible for ensuring high-quality patient care, regulatory compliance, and strong team performance while balancing operational and financial outcomes. This is a hands-on leadership role requiring both clinical expertise and the ability to lead, develop, and hold teams accountable in a fast-paced hospice environment.

Key Responsibilities:

• Clinical & Operational Leadership
• Lead day-to-day clinical operations, including patient assignments, productivity, and census management
• Provide guidance and support in complex patient care situations
• Monitor key metrics such as census, acuity, visit utilization, and staffing needs
• Ensure alignment between clinical operations and organizational goals
• Maintain visibility with field staff and support teams as needed
• Staff Leadership & Accountability
• Lead hiring, onboarding, coaching, and performance management of clinical staff
• Hold leaders and staff accountable for performance, attendance, and productivity
• Address performance concerns proactively, including corrective action when necessary
• Develop and mentor clinical supervisors and emerging leaders
• Foster a culture of accountability, teamwork, and continuous improvement
• Quality, Compliance & Clinical Excellence
• Ensure all clinical documentation is accurate, timely, and audit-ready
• Maintain compliance with Medicare Conditions of Participation and regulatory standards
• Lead QAPI initiatives including quality metrics, incidents, and infection control
• Prepare for surveys, audits, and accreditation reviews
• Oversee incident investigations and corrective actions
• Operational & Financial Management
• Monitor staffing utilization, overtime, and productivity expectations
• Partner with leadership on clinical budget planning
• Ensure appropriate use of supplies, equipment, and medications
• Communication & Community Engagement
• Promote clear, professional communication across teams
• Build relationships with referral sources including hospitals and SNFs
• Collaborate cross-functional to ensure continuity of care
• Emergency Management
• Ensure staff safety and coordination during emergencies
• Lead communication with internal teams and external agencies
• Maintain infection control and safety standards during emergencies

Role Expectations (Non-Negotiables):

• This is not a desk-only role—active involvement in clinical operations is expected
• Must be comfortable making independent decisions related to staffing and patient care
• Accountable for team performance, documentation quality, and regulatory outcomes
• Must be able to lead in a dynamic environment with changing census and patient needs

Qualifications:

• Active Oregon RN license in good standing
• 7+ years of clinical experience
• 3+ years in a leadership role (hospice preferred)
• Experience in hospice, home health, SNF, or hospital settings
• Strong leadership and communication skills
• Knowledge of regulatory standards and compliance requirements
• Valid driver's license and reliable transportation

Compensation:

Competitive salary based on experience

Performance-based bonus opportunity

Full benefits package including medical, dental, vision, PTO, and 401(k)